Evidence map›Paper›PMID 34505103›Full record

ArticleJSES international2021

Equal care for all? Do surgical outcomes in shoulder arthroplasty depend on insurance type?

Vani Sabesan, Kiran Chatha, Diego J Lima, Jonathon P Yawman, Laila Khoury, Howard Routman

Abstract read
In one paragraph

Article in JSES international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Patient Health Care Disparities in Shoulder Arthroplasty.Current reviews in musculoskeletal medicine · 2025
    Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Vani SabesanDepartment of Orthopaedic Surgery, Cleveland Clinic Florida, Weston, FL, USA.
Kiran ChathaDepartment of Orthopaedic Surgery, Cleveland Clinic Florida, Weston, FL, USA.
Diego J LimaDepartment of Orthopaedic Surgery, Cleveland Clinic Florida, Weston, FL, USA.
Jonathon P YawmanOrlando Regional Medical Center, Group, Orlando, FL, USA.
Laila KhouryCharles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL, USA.
Howard RoutmanAtlantis Orthopaedics, Palm Beach Gardens, FL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough it has been shown that Medicare populations have a higher overall rate of complications than those with private insurances for large cohort total joint studies, there is limited information comparing patient-reported outcomes (PROs) among private insurance patients. The purpose of this study was to determine the impact of non-Medicaid insurance type on outcomes after shoulder arthroplasty.

methodsThis retrospective case-controlled study included 203 patients who underwent shoulder arthroplasty from 2012 to 2017 by a single surgeon. Preoperative and postoperative PROs were collected and included the Simple Shoulder Test, the American Shoulder and Elbow Surgeons Shoulder Assessment Form, and the Constant Shoulder Score. Patients were categorized into groups based on insurer-preferred provider organization, health maintenance organization, Medicare, and Veterans Affairs Care program-and outcomes were compared between groups.

resultsThe 4 insurance provider groups were matched for body mass index, surgery type, and comorbidities (

conclusionsOur results suggest variations in insurance type did not significantly impact outcomes for our cohort of patients undergoing shoulder arthroplasty. Although variations in patient cohorts exist, patients regardless of insurance type and coverage variations can expect significant improvements in their function and pain after shoulder arthroplasty.

Indexed as

InsuranceNon-Medicaid insurancePatient-reported outcomesPerioperative outcomesReverse total shoulder arthroplastyTotal shoulder arthroplasty

Identifiers

PMID34505103
PMCPMC8411063

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.